FORMS

Phase 1 Forms

The following forms are required for the testing and registration process for Phase 1 (physical agility and suitability) testing:

• Form T-1 – Medical Release

• Form T-1A – Physician’s Medical Release

• Form T-2 - Liability Waiver

• Form H-1 – Background Investigation

• Applicant Education Verification

• Physical Agility Test Prep Booklet (8.3MB PDF)

Phase 2 Forms

The following forms are required for the testing and registration process for Phase 2 (polygraph and drug screen) testing:

• Form I-1 - Consent for Pre-employment Polygraph Examination

• Form I-2 – Pre-Employment Polygraph Questionnaire

• Form I-3 - Polygraph Explanation Report

• Form G-1 – Medical Examination Report

• Form G-2- Medical History Statement

• Form G-3 – Medical Screening Guidelines Implementation Manual

• Form K-1 - Drug Screening Through Urinalysis Applicant Consent

• Form K-2 - Drug Screening Through Urinalysis Chain of Custody

• Form L-1 – Code of Ethics

• Form L-2 – Canon of Ethics

Hiring/Status Update Forms

The following forms are required for the hiring process or status updates:

• Peace Officer Status and Standing Request (PDF)

• Peace Officer Status and Standing Request (DOC)

Curriculum Forms

The following forms are utilized for obtaining approval for curriculum from the Kentucky Law Enforcement Council:

• Form 31 – Curriculum Development

• Form 31 - Instructions Sheet

Career Development Program Forms

• CDP Information Guide

• Form 1 - Commitment

• Form 2 - Intermediate LEN Officer

• Form 3 - Advanced LEN Officer

• Form 4 - LEN Officer Investigator

• Form 5 - LEN Traffic Officer

• Form 7 - LEN Supervisor

• Form 8 - LEN Manager

• Form 9 - LEN Executive

• Form 11 - Intermediate Public Safety Dispatcher

• Form 12 - Advanced Public Safety Dispatcher

• Form 13 - Public Safety Dispatcher Supervisor

• Form 14 - Public Safety Dispatcher Manager/Director

• Form 15 - LEN Chief Executive

• Form 16 - LEN Training Officer

• Form 17 - LEN Officer Advanced Investigator

• Form 18 - Crime Scene Processing Officer

• Form 19 - Communications Training Officer

• Form 20 - Crime Scene Technician

• Form 21 - School Resource Officer I

• Form 22 - School Resource Officer II

• Form 23 - School Resource Officer III

• Form 24 - Law Enforcement Tactical Officer

• Form 25 - Law Enforcement Canine Officer

• Form 28 - Sheriff Supervisor

• Form 29 - Sheriff Manager

• Form 30 - Sheriff Executive

• Form 31 - Sheriff Chief Executive

• Form 32 - Investigative Public Safety Dispatcher

Marksmanship Forms

The following form is required to obtain the annual credit required by KRS 15.383 for marksmanship qualification. Please click here to review the requirements for submission of Form 68-3:

• Form 68-3 - Application for Training Record - Single Page

• Form 68-3 - Application for Training Record - Multiple Pages

Open Records Request

• Standardized Open Records Request

Training Credit Forms

The following forms are required to receive credit for outside in-service training:

• Form 68-1 – Application for Training Credit

• Form 68-1 - Application for Training Credit - Multiple Pages

• Form 68-2 – Application for In-Service Training Credit for College Courses

Training Extension Forms

• Extenuating Circumstance Request for Peace Officer Training Extension

• Extenuating Circumstance Request for Court Security Officer Training

• Extenuating Circumstance Request for Telecommunication Training

Instructor Certification Forms

The following forms are used to gain original instructor certification, continued instructor certification, additional instructor certification or waived certification from the Kentucky Law Enforcement Council:

• KLEC Instructor Certification Areas

• KLEC Form 1 – Original Instructor Certification Application

• KLEC Form 5 – Continued Instructor Certification

• KLEC Form 6 – Additional Instructor Certification

• KLEC Form 8 – Request for Waiver Certification

• KLEC Form 9 - Temporary Instructor Certification (TIC)

Reciprocity Forms

The following forms are utilized for reciprocity:

• Kentucky Reciprocity Application

• KRED Reciprocity Form

Checklists

• Telecommunications Professional Standards (TPS) File Checklist

• Peace Officer Professional Standards (POPS) File Checklist

• Court Security Officer (CSO) Professional Standards File Checklist

• Certified Peace Officer & Court Security Officer Checklist (Lateral Hires)

Transcript Request

• Transcript Request Form